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0 <br />Cl R urn Recei Fee <br />O (Endorsement Re wired) <br />C3 Restricted Delivery Fee <br />O (Endorsement Required) <br />CO <br />r'-- Total Postage & Fees <br />rLi <br />0 <br />r-ZI' <br />0 <br />BRUCE BEt/RD <br />PO BOX 18 <br />THORNTON CA 95686 <br />■ Complete items 1, 2, and 3. Also complete <br />item 4 if Restricted Del' ery is desi ed <br />■ Print your name an th r rse <br />so that we can retur I �i yo <br />■ Attach this card to the back of the mailpiece, <br />or on the front if space permits. <br />I. Article Addressed to: <br />BRUCE IHEA-V2-$- <br />PO BOX 18 <br />THORNTON CA 95686 <br />is ae are gitterent from item 1? U Yes <br />If YE liv EIVED ❑ No <br />'MV"4UNMhNTALHEALTH <br />� <br />CertififEMIT� <br />❑ it <br />Registered Retu ipt for Merchandise <br />❑ Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />1. Article Number 7010 2780 0000 6637 4175 <br />(Transfer from sery <br />PS Form 3811, February 2004 Domestic Return Receipt 102595 -o2 -M-1549 <br />U.S. <br />Postal <br />Service,,, <br />CERTIFIED <br />MAIL,,, <br />RECEIPT <br />(Domestic <br />Mail <br />Only; <br />No Insurance <br />Coverage <br />Provided) <br />For delivery <br />information <br />visit our <br />website <br />at www.usps.comoo <br />0 <br />Cl R urn Recei Fee <br />O (Endorsement Re wired) <br />C3 Restricted Delivery Fee <br />O (Endorsement Required) <br />CO <br />r'-- Total Postage & Fees <br />rLi <br />0 <br />r-ZI' <br />0 <br />BRUCE BEt/RD <br />PO BOX 18 <br />THORNTON CA 95686 <br />■ Complete items 1, 2, and 3. Also complete <br />item 4 if Restricted Del' ery is desi ed <br />■ Print your name an th r rse <br />so that we can retur I �i yo <br />■ Attach this card to the back of the mailpiece, <br />or on the front if space permits. <br />I. Article Addressed to: <br />BRUCE IHEA-V2-$- <br />PO BOX 18 <br />THORNTON CA 95686 <br />is ae are gitterent from item 1? U Yes <br />If YE liv EIVED ❑ No <br />'MV"4UNMhNTALHEALTH <br />� <br />CertififEMIT� <br />❑ it <br />Registered Retu ipt for Merchandise <br />❑ Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />1. Article Number 7010 2780 0000 6637 4175 <br />(Transfer from sery <br />PS Form 3811, February 2004 Domestic Return Receipt 102595 -o2 -M-1549 <br />